How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $35.48 Typical High $46.77 | Professional | None | $10.72 | $35.48 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $39.81 Typical High $39.81 | Facility | None | $21.38 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $75.86 | Professional | None | $38.90 | $39.81 | $75.86 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $38.90 Typical High $158.49 | Facility | None | $28.84 | $38.90 | $158.49 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $29.51 | Professional | None | $11.75 | $17.78 | $29.51 |
Midlands Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $75.86 | Professional | None | $38.90 | $39.81 | $75.86 |
Midlands Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $97.72 | Professional | None | $48.98 | $75.86 | $97.72 |
United Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $22.39 | Professional | None | $12.59 | $16.98 | $22.39 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $5.25 Typical High $6.92 | Professional | 55 · Aftercare only | $3.47 | $5.25 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $3.55 Typical High $4.68 | Professional | 56 · Pre-op care only | $2.29 | $3.55 | $4.68 |
Where Nebraska sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nebraska· 15th of 51
$27.54
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.